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MR. DANILO SANTIAGO DELA CRUZ
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1992087050
Individual Registrant:MR. DANILO SANTIAGO DELA CRUZ
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1065 S FORTUNA BLVD FORTUNA, CA 95540-3010 US
Tel: 707-726-0377 Fax: --
Tel: 707-726-0377 Fax: --
Contact information for business:
833 SPRINGVILLE AVE FORTUNA, CA 95540-2887 US
Tel: 707-386-5581 Fax: --
Tel: 707-386-5581 Fax: --
Registration Information:
NPI: 1992087050
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CA | RPH 60891 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
